补肾通络汤联合低频脉冲穴位电刺激对脑卒中后吞咽障碍患者吞咽功能及表面肌电图的影响
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R743.3

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Effect of Bushen Tongluo Tang Combined with Electrical Acupoint Stimulation with Low- Frequency Impulse on Deglutition Function and Surface Electromyography of Patients with Post-Stroke Dysphagia
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    摘要:

    目的:观察补肾通络汤联合低频脉冲穴位电刺激对脑卒中后吞咽障碍患者吞咽功能及表面肌电图的影响。方法:选取80 例脑卒中后吞咽障碍患者为研究对象,分为试验组及对照组各40 例。对照组采用低频脉冲穴位电刺激治疗,试验组采用低频脉冲穴位电刺激联合补肾通络汤治疗。2 组均治疗1 个月。观察2 组治疗后临床疗效,比较2 组治疗前后吞咽功能、表面肌电图及舌骨喉活动度。结果:治疗后,试验组总有效率为90.00%,高于对照组70.00%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组吞咽造影评分均较治疗前升高,洼田饮水试验评分均较治疗前下降,试验组吞咽造影评分高于对照组,洼田饮水试验评分低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组sEMG 最大波幅均较治疗前升高,吞咽时间均较治疗前降低,试验组sEMG 最大波幅高于对照组,吞咽时间低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组舌骨前移、上移及甲状软骨前移、上移距离均较治疗前增加(P<0.05),试验组增加距离高于对照组(P<0.05)。结论:补肾通络汤联合低频脉冲穴位电刺激治疗脑卒中后吞咽障碍的疗效较好,可缓解临床症状,提高吞咽功能,增强舌骨喉活动度,促进舌部肌肉的运动。

    Abstract:

    Abstract:Objective:To observe the effect of Bushen Tongluo tang combined with electrical acupoint stimulation with low- frequency impulse on deglutition function and surface electromyography of patients with post- stroke dysphagia. Methods:A total of 80 cases of patients with post-stroke dysphagia were selected and divided into the experiment group and the control group,40 cases in each group. The control group was given electrical acupoint stimulation with low- frequency impulse,and the experiment group was given Bushen Tongluo tang combined with electrical acupoint stimulation with lowfrequency impulse. The clinical effect was observed in the two groups after treatment. The deglutition function, surface electromyography,and hyolaryngeal range of motion were compared before and after treatment. Results:After treatment, the total effective rate was 90.00% in the experiment group,higher than that of 70.00% in the control group,the difference being significant(P<0.05). After treatment, the scores of swallowing angiography in the two groups were increased when compared with those before treatment, and the scores of water swallow test were decreased; the score of swallowing angiography in the experiment group was higher than that in the control group, and the score of water swallow test was lower;differences were significant(P<0.05). After treatment,the maximum wave amplitudes of sEMG in the two groups were increased when compared with those before treatment,and swallowing duration was decreased;the maximum wave amplitude of sEMG in the experiment group was higher than that in the control group,and swallowing duration was shorter; differences were significant(P<0.05). After treatment,the distances of advancement and elevation of hyoid bone and thyroid cartilage in the two groups were increased when compared with those before treatment(P<0.05),and increased distance in the experiment group was longer than that in the control group(P<0.05). Conclusion:The therapy of Bushen Tongluo tang combined with electrical acupoint stimulation with low-frequency impulse has a good curative effect in the treatment of poststroke dysphagia, which can improve clinical symptoms, enhance deglutition function and hyolaryngeal range of motion, and promote muscle movements of the tongue.

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段喜森,李雁君,彭常拯.补肾通络汤联合低频脉冲穴位电刺激对脑卒中后吞咽障碍患者吞咽功能及表面肌电图的影响[J].新中医,2021,53(17):79-82

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  • 在线发布日期: 2021-09-09
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